Individual provider Active NPI

Saul Joseph Rosenstreich, MD

  • Gastroenterology Physician
  • Cutchogue, NY
National Provider Identifier
1629300561
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
106339 Issued in NY
Practice address
645 Little Peconic Bay Rd
Cutchogue, NY 11935-1638
Phone
(631) 734-6961
NPI assigned
Feb 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 106339 NY Primary

Addresses

Primary practice location

645 Little Peconic Bay Rd
Cutchogue, NY 11935-1638

Mailing address

645 Little Peconic Bay Rd
Cutchogue, NY 11935-1638
Phone (631) 734-6961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106339NYMDGastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1629300561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 LITTLE PECONIC BAY RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351638",
            "telephone_number": "631-734-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 LITTLE PECONIC BAY RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351638",
            "telephone_number": "631-734-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTREICH",
        "first_name": "SAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "106339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.